2003-08-08_REVISION - M1986076

• Permit No: M1986076
• IBM Index Class Name: REVISION
• Doc Date: 8/8/2003
• Doc Name: Amendment Application
• From: DGMC
• To: DMG
• Type & Sequence: AM3
• Media Type: D
• Archive: No

RECEIVED
STATEMENT AUG 0 8 2003
pirision ~f Minerals and Geology
The owner of the surface of the affected land is Bill Burris.
The owner of the subsurface rights of the affected land is Bill Burris.
His address is 21677 Mountsfield Dr., Golden, CO 80401-9433,
phone # [phone]
/~Z~ze~!
ames Bender / D.G.M.C.
~/~//0.3
Date